Individual
DR. JUAN M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 264-6490
(813) 443-8143
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 264-6490
(813) 443-8143
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME105420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002189700
—
FL
Enumeration date
08/24/2007
Last updated
10/18/2024
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